Percutaneous ultrasound-guided renal biopsies in a paediatric population: comparison of coaxial and non-coaxial techniques using 18-gauge core biopsy needles.

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Tytuł:: Percutaneous ultrasound-guided renal biopsies in a paediatric population: comparison of coaxial and non-coaxial techniques using 18-gauge core biopsy needles.
Autorzy:: Fung KFK; Department of Radiology, Hong Kong Children's Hospital, 2/F, Block B, 1 Shing Cheong Road, Kowloon Bay, Hong Kong. .
Cheng KK; Department of Diagnostic and Interventional Radiology, Kwong Wah Hospital, Hong Kong, Hong Kong.
Chan EY; Division of Paediatric Nephrology, Hong Kong Children's Hospital, Hong Kong, Hong Kong.
Ma LTA; Division of Paediatric Nephrology, Hong Kong Children's Hospital, Hong Kong, Hong Kong.
Cho HYD; Department of Diagnostic and Interventional Radiology, Kwong Wah Hospital, Hong Kong, Hong Kong.
Kan YLE; Department of Radiology, Hong Kong Children's Hospital, 2/F, Block B, 1 Shing Cheong Road, Kowloon Bay, Hong Kong.
Źródło:: Pediatric radiology [Pediatr Radiol] 2022 Nov; Vol. 52 (12), pp. 2431-2437. Date of Electronic Publication: 2022 Apr 22.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Berlin, New York, Springer-Verlag.
MeSH Terms:: Image-Guided Biopsy*/methods
Kidney*/diagnostic imaging
Adolescent ; Humans ; Child ; Retrospective Studies ; Biopsy, Large-Core Needle ; Ultrasonography, Interventional/methods ; Needles
References:: Towbin RB, Baskin K (2015) Pediatric interventional radiology. Cambridge University Press, Cambridge. (PMID: 10.1017/CBO9781107337183)
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Furness PN (2000) ACP Best practice no 160. Renal biopsy specimens. J Clin Pathol 53:433–438. (PMID: 10.1136/jcp.53.6.433109118001731205)
Hatfield MK, Beres RA, Sane SS et al (2008) Percutaneous imaging-guided solid organ core needle biopsy: coaxial versus noncoaxial method. AJR Am J Roentgenol 190:413–417. (PMID: 10.2214/AJR.07.267618212227)
McDonald J, Amirabadi A, Farhat Z et al (2019) Experience with compressed gelfoam plugs in children during liver biopsies and other IR procedures: a retrospective single-center case series. J Vasc Interv Radiol 30:1855–1862. (PMID: 10.1016/j.jvir.2019.04.00431202680)
Babaei Jandaghi A, Lebady M, Zamani AA et al (2017) A randomised clinical trial to compare coaxial and noncoaxial techniques in percutaneous core needle biopsy of renal parenchyma. Cardiovasc Intervent Radiol 40:106–111. (PMID: 10.1007/s00270-016-1466-327695925)
Uppot RN, Harisinghani MG, Gervais DA (2010) Imaging-guided percutaneous renal biopsy: rationale and approach. AJR Am J Roentgenol 194:1443–1449. (PMID: 10.2214/AJR.10.442720489082)
Fotiadis N, De Paepe KN, Bonne L et al (2020) Comparison of a coaxial versus non-coaxial liver biopsy technique in an oncological setting: diagnostic yield, complications and seeding risk. Eur Radiol 30:6702–6708. (PMID: 10.1007/s00330-020-07038-7326663177599171)
Robbins KA, Keet CA (2015) Intraoperative anaphylaxis likely due to Gelfoam in a pediatric patient undergoing liver biopsy. Ann Allergy Asthma Immunol 114:531–533. (PMID: 10.1016/j.anai.2015.03.01625886695)
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Contributed Indexing:: Keywords: Children; Coaxial; Complications; Image-guided biopsy; Kidney; Ultrasound
Entry Date(s):: Date Created: 20220422 Date Completed: 20221101 Latest Revision: 20221121
Update Code:: 20240104
DOI:: 10.1007/s00247-022-05359-x
PMID:: 35451631
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Background: Percutaneous ultrasound-guided biopsy is performed in paediatric patients for evaluation of diffuse renal parenchymal disease. When compared with the non-coaxial technique, the coaxial technique has the advantages of obtaining multiple tissue cores via a single capsular puncture and post-biopsy tract embolisation.
Objectives: To compare the coaxial and non-coaxial techniques of percutaneous ultrasound (US)-guided biopsy of native kidney parenchyma in children and adolescents with renal disease.
Materials and Methods: We retrospectively identified consecutive patients who underwent percutaneous US-guided renal biopsy using an 18-gauge core biopsy needle from July 2019 to July 2021 in a single tertiary paediatric nephrology centre. Focal renal tumour biopsy and transplant kidney biopsy were excluded. The total glomerular yield, specimen adequacy, complication rate and procedural time between the coaxial and non-coaxial groups were compared.
Results: There were 34 percutaneous US-guided renal biopsies: 22 using a coaxial technique and 12 using a non-coaxial technique. The total median glomerular yield obtained was higher in the coaxial group (coaxial=37.9; non-coaxial=22.2; P=0.02). No statistically significant difference was noted between specimen adequacy (coaxial=100%; non-coaxial=91.7%; P=0.35). While no statistically significant difference was detected for overall complication rates (coaxial=13.6%; non-coaxial=41.7%; P=0.09), the coaxial group had a lower rate of haemorrhagic complications (coaxial=4.5%; non-coaxial=41.7%; P=0.01). One patient in the non-coaxial group had post-biopsy haemorrhage requiring embolisation. The procedural time was shorter in the coaxial group (coaxial=26.3 ± 7.0 min; non-coaxial=51.3 ± 11.5 min; P<0.001).
Conclusion: Percutaneous US-guided renal biopsy in children using the coaxial technique has significantly higher total glomerular yield, shorter procedural time and fewer haemorrhagic complications, compared to biopsies using the non-coaxial technique.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

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